Follow-up on corrections·April 28, 2023

Licensing Program Analyst (LPA) Dawn Segura conducted a case management visit to cite for deficiencies observed during a complaint investigation. LPA spoke with Cheryl Castro, via telephone, with whom she discussed the purpose of the visit. During a complaint investigation, LPA discovered, through interviews, that Resident 1 (R1) [LIC 811 Confidential Names List was provided to identify the resident] was transported from the home by the Psychiatric Emergency Response Team following a behavioral incident that occurred on or about March 29, 2023. R1 was transported to a local hospital. Interviews revealed that, several hours later, the facility’s licensee was contacted by the hospital staff, and the licensee was asked whether R1 would be accepted back into the home once he/she was settled. At that time, the licensee informed hospital staff that R1 would not be accepted back into the home; no notice of eviction had been provided to the resident. Subsequently, R1 was admitted into the hospital and remained there until hospital staff found another place to which R1 could be discharged. While conducting the same complaint investigation, during a review of records maintained by the facility, LPA discovered that licensee had been provided hospital records which reflect that prior to R1’s admission into the facility, which occurred on December 13, 2022, R1 was admitted into a local hospital on October 24, 2022, for dementia with behavioral disturbance. It is noted in the records that R1 was admitted on a 5150 (involuntary 72-hour psychiatric hospitalization) hold because R1 was determined to be a danger to others. It was also noted in hospital records that R1 would be evaluated for adjustment of psychotropic medications and to prevent immediate danger to self or others. The records reflect that R1 remained in the hospital until discharged to the facility on December 13, 2022. LPA reviewed the preplacement appraisal completed by licensee, dated December 13, 2022, and observed that the preplacement appraisal reflects that R1 has a diagnosis of dementia and is confused; however, the appraisal reflects no indication of behavioral disturbance or any type of psychiatric incident(s) or hospitalization(s) associated with R1 or in R1’s history. Additionally, while conducting the complaint investigation, during a visit to the facility conducted on April 11, 2023, LPA requested to review staff training records. A review of records present at the facility at the time of the visit reflected that the most recent dementia training received by Staff 1 (S1) and Staff 2 (S2) was on January 23 and 24 of 2018. Based upon the foregoing, deficiencies are being cited Per Title 22, Division 6, Chapter 8 of the California Code of Regulations and are listed on an LIC 809-D. An exit interview was conducted, and this report was discussed, via telephone, with Cheryl Castro. Copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to staff at the conclusion of the visit, and Emelita Supnet's signature on this form acknowledges receipt of the rights and a copy of this report.